Individual provider Active NPI

Nicholas C Scull, PH.D.

  • Counseling Psychologist
  • Wellesley, MA
National Provider Identifier
1245942812
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
MA11533 Issued in MA
Practice address
9 Argyle Ave
Wellesley, MA 02482-1055
Phone
(617) 480-2799
NPI assigned
Dec 15, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW016512 PA
Counseling Psychologist 103TC1900X MA11533 MA Primary
Counseling Psychologist 103TC1900X PS01188 RI

Addresses

Primary practice location

9 Argyle Ave
Wellesley, MA 02482-1055

Mailing address

9 Argyle Ave
Wellesley, MA 02482-1055
Phone (617) 480-2799

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address n.scull@fshnkuwait.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MA11533MAMDCounseling Psychologist
PS01188RIMDCounseling Psychologist
CW016512PAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1245942812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ARGYLE AVE",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024821055",
            "telephone_number": "617-480-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ARGYLE AVE",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024821055",
            "telephone_number": "617-480-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULL",
        "first_name": "NICHOLAS",
        "middle_name": "C",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016512",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "MA11533",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "RI",
            "license": "PS01188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "n.scull@fshnkuwait.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9 Argyle Ave",
            "city": "Wellesley",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024821055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.